Genital reconstruction and urethral plasty after Fournier?s gangrene and urethral fistula

Hugo Rivera-Astorga, Urology Service, Hospital General de México Dr. Eduardo Liceaga, Secretaría de Salud. Mexico City, Mexico
María P. Vázquez-Tabares, Urology Service, Hospital General de México Dr. Eduardo Liceaga, Secretaría de Salud. Mexico City, Mexico
Paulina L. León-López, Urology Service, Hospital General de México Dr. Eduardo Liceaga, Secretaría de Salud. Mexico City, Mexico
Francisco J. Hernández-Calderón, Department of Urology, Hospital General de México, Secretaría de Salud. Mexico City, Mexico
Jorge Jaspersen-Gastelum, Departamento de Urología, Hospital General de México ”Dr. Eduardo Liceaga”, Mexico City, Mexico
Ángel Gurrola-Ortega, Urology Service, Hospital General de México Dr. Eduardo Liceaga, Secretaría de Salud. Mexico City, Mexico
José F. Virgen-Gutiérrez, Urology Service, Hospital General de México “Dr. Eduardo Liceaga”, Mexico City, Mexico
Eloy Rico-Frontana, Urology Service, Hospital General de México Dr. Eduardo Liceaga, Secretaría de Salud. Mexico City, Mexico
César A. Rivera-Colín, Department of Reconstructive Urology, Faculty of Medicine, Universidad Nacional Autónoma de México. Mexico City, Mexico

Fournier’s syndrome is necrotizing fasciitis of the soft tissues of the perineum. Diagnosis is clinical, and treatment involves stabilization, antibiotics, and debridement of necrotic tissue, which can lead to esthetic and functional sequelae that may be corrected later. A 62-year-old male presents for genital reconstruction due to post-Fournier gangrene penile scarring with an inter-scrotal urethrocutaneous fistula. A term-to-term urethral plasty, bilateral testicular descent, and penile ascent are performed. The available information on reconstructive surgery for external genitalia following Fournier’s gangrene is insufficient to establish a standard approach.

Keywords: Fournier?s gangrene. Urethral fistula. Genital reconstruction. Urethral plasty.